National Provider Identifier [NPI]: |
1164490124 |
Last Name Of The Provider |
PERLSTEIN |
First Name Of The Provider |
EDWARD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6750 E BAYWOOD AVE |
Street Address 2 Of The Provider |
301 |
City Of The Provider |
MESA |
Zip Code Of The Provider |
852061749 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
7947 |
Number Of Medicare Beneficiaries |
2070 |
Total Submitted Charge Amount |
1021668.25 |
Total Medicare Allowed Amount |
510072.08 |
Total Medicare Payment Amount |
375130.6 |
Total Medicare Standardized Payment Amount |
381812.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
199 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
20937.25 |
Total Drug Medicare AllowedAmount |
10429.04 |
Total Drug Medicare PaymentAmount |
8032.97 |
Total Drug Medicare Standardized Payment Amount |
8032.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
7748 |
Number Of Medicare Beneficiaries With Medical Services |
2069 |
Total Medical Submitted Charge Amount |
1000731 |
Total Medical Medicare Allowed Amount |
499643.04 |
Total Medical Medicare Payment Amount |
367097.63 |
Total Medical Medicare Standardized Payment Amount |
373779.82 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
771 |
Number Of Beneficiaries Age 75 to 84 |
829 |
Number Of Beneficiaries Age Greater 84 |
408 |
Number Of Female Beneficiaries |
956 |
Number Of Male Beneficiaries |
1114 |
Number Of Non Hispanic White Beneficiaries |
1958 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
57 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
2002 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
68 |
Percent Of With Atrial Fibrillation |
41 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.4391 |